Taheri Chang M.D., PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TAHERI CHANG M.D., PC

Practice address

5731 S Fort Apache Rd
Suite #103
Las Vegas, NV 89148-5620

Phone

(702) 346-3875

Fax

(661) 974-8669

NPI assigned

Dec 15, 2008

Last updated

Jun 8, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Taheri, M.D.NPI 1992774681

Title

Owner

Phone

(661) 974-8666

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Taheri, M.D.

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1992774681
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1114162559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16297",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092297",
            "telephone_number": "661-974-8666",
            "fax_number": "661-974-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 S FORT APACHE RD",
            "address_2": "SUITE #103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485620",
            "telephone_number": "702-346-3875",
            "fax_number": "661-974-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHERI CHANG M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "TAHERI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-974-8666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justice Tagtmeier
• Olga Tagtmeier
• Olga Taguba
• Awa Tague
• Mayssa Margaret Taha, QMHA
• Taheri Chang MD PC (Mesquite Dermatology & Skin Cancer)
• Elham Taherian, MD
• Ayzal Noor Tahir
• Irfan Tahir, M.D.
• Nataliyah Tahir

• Dermatology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dermatology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.